| NPI | 1639340953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE J. SINGER Office Manager 502-817-0927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 01057489A) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2012-08-14 |