| NPI | 1447109657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIAN NAMAYI Owner / Sole Member 502-999-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-01-22 |
| Last Update Date | 2026-07-16 |