NPI | 1215512496 |
---|---|
Former Name | ATISHA ANN SUTHERLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0037995) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 450529) |
Enumeration Date | 2021-03-10 |
Last Update Date | 2025-06-19 |