| NPI | 1912776998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE SANDERS Credentialing Manager 502-630-2036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2024-01-01 |