| NPI | 1629329610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNEMARIE G TULL Vice President 805-545-5050 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: VA 0024170051) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |