| NPI | 1558636662 |
|---|---|
| Former Name | LISA ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.13187-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.13187-NP) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2018-02-14 |