| NPI | 1689802100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL K EHLIN President 954-341-2357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 2608302) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2010-01-15 |