| NPI | 1013297340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JINDA AK BOWERMAN Nurse Practitioner 513-584-7425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH COA 12549-NP) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |