NPI | 1699117226 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY ANNE BAILEY Member Manager 502-921-2963 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3004234) |
Enumeration Date | 2013-07-24 |
Last Update Date | 2013-07-24 |