NPI | 1154374007 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRIE LARM Practice Administrator 216-844-1859 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology |
2085N0904X | |
2085R0202X Radiology, Diagnostic Radiology | |
Enumeration Date | 2006-05-19 |
Last Update Date | 2025-09-11 |