| NPI | 1114198561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANN HAMBY Office Manager 270-443-8425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2020-09-24 |