| NPI | 1710085055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE S. PARRA Office Manager 408-254-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-12-09 |