NPI | 1396166096 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA MULLINS Owner 859-655-8554 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14312-NP) |
Enumeration Date | 2013-12-23 |
Last Update Date | 2013-12-23 |