| NPI | 1134403595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT SPAULDING VP Of Accounting 513-707-1546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2025-02-04 |