| NPI | 1558634188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED E LEFELD CFO 937-395-3023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |