| NPI | 1114383924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE GILL Office Manager 509-491-3889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 176B00000X Midwife |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-03-17 |