NPI | 1437459070 |
---|---|
Former Name | CRISTINE L ROZELLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: OH 50.003177RX) |
Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: OH 50003177) |
Enumeration Date | 2010-10-29 |
Last Update Date | 2022-08-15 |