| NPI | 1639380637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE BOSSE Prac Mgr 513-791-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 2002001121) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |