| NPI | 1114324589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIA WILSON CEO 513-357-4602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.037521) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN225695) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN218224) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-05 |