| NPI | 1770218935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MARIE KOENES Executive Director 916-773-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-08-09 |