| NPI | 1750544904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY A COHEN CFO 502-896-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2009-10-21 |