NPI | 1023291606 |
---|---|
Entity Type | Organization |
Authorized Contact | HAZEL YANG President 606-325-1894 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KY 29156) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 00463P) |
Enumeration Date | 2007-12-06 |
Last Update Date | 2007-12-06 |