| NPI | 1073270666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI KEMENAH MAURIC Owner/ President 419-559-5904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2021-11-18 |