NPI | 1215427703 |
---|---|
Other Name | JACLYN MARIE SAGEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023225) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-05-10 |
Last Update Date | 2019-11-27 |