| NPI | 1619691177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAIWO I ADEBAYO Owner/Authorized Official 614-216-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2023-09-18 |