| NPI | 1275665143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANDA L MORRIS Owner 859-744-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2012-09-28 |