| NPI | 1093353054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEREZA J PEERCY Owner 502-777-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2023-12-04 |