| NPI | 1073903282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE DIANA GROSH Nurse Practitioner 440-281-6657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA.17027-NP) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |