NPI | 1639199904 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH L OWEN Practice Manager 859-278-0396 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 7100514990) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KY 7100514990) |
207V00000X Obstetrics & Gynecology (Licence: KY 65904625) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2019-07-29 |