| NPI | 1871738856 |
|---|---|
| Former Name | SARAH LIZA WISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.10390-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 10390) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2021-01-26 |