| 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 |