| NPI | 1952099020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHATERA JAHAN Psychiatric Nurse Practitioner 951-858-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2024-04-25 |