NPI | 1841650975 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA M. WILLIAMS Sole Proprietor 270-247-7795 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 6289P) |
Enumeration Date | 2016-03-02 |
Last Update Date | 2016-03-02 |