| NPI | 1750094512 |
|---|---|
| Doing Business As | WELLITY FOR WOMEN |
| Entity Type | Organization |
| Authorized Contact | MARY JANE GLADE Manager 402-416-1632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2024-05-15 |