| NPI | 1538359310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN GIANOTTI Billing Manager 805-550-6456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 751) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2024-02-22 |