| NPI | 1821786161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITA DAILO Nurse Practitioner 415-652-2504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-06-14 |