| NPI | 1659917102 |
|---|---|
| Former Name | LYDIA CELINE GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027276) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.458983) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2020-09-07 |