| 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 |