NPI | 1467096362 |
---|---|
Former Name | JESSICA RAGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025561) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.368148) |
Enumeration Date | 2019-11-04 |
Last Update Date | 2022-03-01 |