| NPI | 1811711302 |
|---|---|
| Doing Business As | HER WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BRIDGET ODOM LEE Co Owner 318-626-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2025-02-25 |