| NPI | 1649094475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY BRYANNE NABORS Owner/President 310-567-1922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-08 |