| NPI | 1306091186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRISA WILSON Office Staff 858-279-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A34624) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |