| 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 |