| NPI | 1285442160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE HYNNIMAN Director Of Operations 972-560-0346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2024-12-23 |