| NPI | 1841729399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE ANNE COLVARD Owner 805-835-8865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006711) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |