| NPI | 1851958169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRUN ELLISON Nurse Practitioner 513-238-5982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QC1800X Clinic/Center, Corporate Health |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2021-11-04 |