| NPI | 1487514006 |
|---|---|
| Doing Business As | HER VITAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LEAH WONG Owner 317-434-4341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-11-15 |
| Last Update Date | 2025-11-15 |