| NPI | 1346624210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER M TLUCZEK Owner 859-268-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 03074) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |