NPI | 1215182951 |
---|---|
Doing Business As | THE WOMEN'S CENTER FOR GYNECOLOGY AND BLADDER DISORDERS |
Entity Type | Organization |
Authorized Contact | JAN N EKLUND Member/Registered Agent 502-239-9920 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 1777P & 3074P) |
Enumeration Date | 2008-11-21 |
Last Update Date | 2010-12-02 |