| NPI | 1477921591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MYERS Owner 330-979-3424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP17829) |
| Enumeration Date | 2015-09-05 |
| Last Update Date | 2023-08-16 |