| NPI | 1972904860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA PARKER President 216-464-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 16492-NP) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |