NPI | 1588843155 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA Y LIDY Owner, Fnp 310-637-7131 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA FNP9478) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA ND9478) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2008-07-31 |