| NPI | 1104021161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIXIE BONE President 509-943-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30003555) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |