| NPI | 1184711715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA E ROCKSTROH Credentialing Specialist 707-521-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 176B00000X Midwife |
| 207V00000X Obstetrics & Gynecology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2022-07-21 |