| NPI | 1093147787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY L BERENS Owner 307-265-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WY 22143346) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |