NPI | 1912037748 |
---|---|
Entity Type | Organization |
Authorized Contact | AUDREY WEST Practice Administrator 256-533-7420 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-037064) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2020-08-22 |