| NPI | 1457852790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHERECA EDMERSON LANE Owner/Physician 513-394-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35126683) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |