NPI | 1558992842 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH ELIZABETH ROSE Owner 440-867-6045 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 302R00000X Health Maintenance Organization |
Enumeration Date | 2020-01-27 |
Last Update Date | 2022-07-20 |