| NPI | 1699513127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WHITE Owner/Provider 563-447-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-08-26 |