| NPI | 1134799018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE SMITH Advanced Practice Registered Nurse 254-640-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2021-07-01 |