| NPI | 1679440275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA REICH Co Owner 657-294-6350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-11-05 |