| NPI | 1942600234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN W BENTLEY President 256-381-4133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AL 1-031194) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |