| NPI | 1962416792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM CANTER Administrative Assitant 859-278-0363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KY GUIl-0427-6664) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-03-10 |