| NPI | 1801043203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN GILES Member 859-219-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2013-10-09 |