| NPI | 1437702438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AEUMURO GASHAW LASKE Owner/Medical Director 502-682-1894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2020-12-29 |