| NPI | 1982945614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJA CRIDER Owner 253-759-3586 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |