| NPI | 1710749114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS ATKINSON Owner 513-275-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-31 |