| NPI | 1861869539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN JOLYNN MORELAND House Officer 402-717-0947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 7419) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |