| NPI | 1033468756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MEDVE Director 216-973-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN247136) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2022-01-06 |