| NPI | 1538752084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL D. HEATHINGTON Np/Owner 228-207-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SW0102X Clinical Nurse Specialist, Women's Health |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-02-16 |