| NPI | 1437452182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY LINDSEY Member 502-643-2238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 28175225A) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |