| NPI | 1225348337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELE BRYANT Practice Manager 330-376-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA11809NP) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |