| NPI | 1336234681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE MOKONCHU President 541-212-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX MD23693) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-06-21 |