| NPI | 1790337897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA SCHROEDER Owner 502-896-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2021-08-31 |