| NPI | 1437514346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA SIMPSON Sole Member 502-593-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 31256) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |