| NPI | 1780790931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY A HOOPER Credentialing Mgr 408-245-4048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2012-02-01 |