| NPI | 1649401563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAWAR SODA Owner 859-986-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2024-10-31 |