| NPI | 1467879403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE A. SOREM President 415-815-9501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA G79456) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA g79456) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2016-10-25 |