NPI | 1518121581 |
---|---|
Entity Type | Organization |
Authorized Contact | LATISHA L FRAZIER A RN P/Manager 502-554-5851 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 4353P) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2008-07-17 |