| NPI | 1528049541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MOORE CFO 415-435-4591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2018-06-28 |