| NPI | 1942790167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARTIN Administrative Specialist 606-864-5244 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-06-16 |