NPI | 1295507614 |
---|---|
Former Name | JUDITH CALARA SEEBOHM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0035268) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 28281) |
Enumeration Date | 2023-10-30 |
Last Update Date | 2024-02-28 |