| NPI | 1235964545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEANA RUTHERFORD Owner 216-331-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |