| NPI | 1801287057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MOSKO Nurse Practitioner 419-779-1896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 5007449) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |