| NPI | 1528680915 |
|---|---|
| Doing Business As | PURE INTEGRATIVE HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LISA GABRIELLE SMITH Business Manager 601-490-1723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |