| NPI | 1861176307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATIFA BOUKARROU Medical Director Neurology 949-402-6255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |