| NPI | 1376901868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PARIS Billing 502-231-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: KY 1065462) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |