| NPI | 1811374903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHETAN GUPTA President 513-535-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 17252-NP) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |