| NPI | 1760084412 |
|---|---|
| Doing Business As | HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | NANA YAA ADDAI Np 614-300-8971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |