| NPI | 1053425470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN-LU WEBB Vice President 559-299-6592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA G68291) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 373569) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |