NPI | 1144597881 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG R. SWEET President 239-275-8118 |
Organization Subpart ? | No |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: FL ME0060184) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9207683) |
Enumeration Date | 2011-11-23 |
Last Update Date | 2011-11-23 |