| NPI | 1508909151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL SUZANNE SHELTON President 949-842-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP10567) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2009-04-22 |