| NPI | 1437480761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY S DALE Nurse Practitioner 216-556-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OH RN179386) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP03562) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2013-07-12 |