| NPI | 1801690102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE COOPER CEO/Medical Director 502-417-9903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |