| NPI | 1922867639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY VICTORIA FISHER Owner 949-287-1657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |