| NPI | 1770779340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN ELIZABETH MARRA Owner 502-551-9174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 29817) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-21 |