| NPI | 1588288617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNNA MARIA FITZWATER Owner/Nurse Practitioner 513-545-4745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2026-07-26 |