| NPI | 1275705048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEWELL ASHLEY Office Manager 513-624-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2020-03-24 |