| NPI | 1356827067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VONTRESE L WARREN Co Owner/Ap RN 502-618-0543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |