| NPI | 1538521471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TY DAHODWALA Owner 216-685-9975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F0216778) |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2016-03-21 |