| NPI | 1952674574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GITANA B COLE Ap RN / Owner 859-543-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2014-05-12 |