NPI | 1417249012 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA CARCHI Owner/Provider 310-827-3239 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 20168) |
Enumeration Date | 2011-05-14 |
Last Update Date | 2014-05-23 |