NPI | 1295067411 |
---|---|
Entity Type | Organization |
Authorized Contact | KAROLYN SUMSER Business Manager 502-896-8660 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 2137P) |
Enumeration Date | 2010-02-13 |
Last Update Date | 2011-01-25 |