| NPI | 1194168070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TL BROWN Owner 937-760-2035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 12667 NP) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-06-10 |