| NPI | 1508403858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MAE GORHAM Owner 509-540-4308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207SG0203X Medical Genetics Clinical Molecular Genetics |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2025-08-05 |