| NPI | 1124561402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK PHILBIN Owner 216-952-2252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9265135) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |