| NPI | 1851373617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABELLA NYAN Physicia/Owner 502-587-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 30599) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2008-08-05 |