| NPI | 1962832410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH R DONAHUE President 937-594-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.13540-NP) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2020-06-30 |