| NPI | 1972978583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MOORE CFO 415-435-4591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2022-05-17 |