| NPI | 1982276358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA LENZI Credentialing 814-243-3429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2024-01-16 |