| NPI | 1568948560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BALJAK Np/Owner 740-205-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.11381) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2022-04-25 |