| NPI | 1790902906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SENDI ACEVES COO 866-904-7721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA 600033210) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2025-04-02 |