| NPI | 1861889636 |
|---|---|
| Doing Business As | CHILDREN'S HOSPITAL MEDICAL CENTER EMPLOYEES CLINIC |
| Entity Type | Organization |
| Authorized Contact | TIM HAFLEY Edba 513-475-8015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |