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 | 2019-12-05 |