| NPI | 1205422821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M ESTERLE Medical Director / Owner 330-331-7207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine | |
| 261Q00000X Clinic/Center | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2023-08-15 |