| NPI | 1790211019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN SIMMONS Owner/F Np 318-361-3878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA ap03678) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-07-03 |