| NPI | 1104380500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE WILLIAMS Family Nurse Practitioner 216-912-8993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2020-02-10 |