| NPI | 1205190444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA JORGENSEN Owner 216-513-9727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH np 01060) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |