| NPI | 1528685575 | 
|---|---|
| Former Name | SARAH CONGROVE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0026860)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.00026860)  | 
| Enumeration Date | 2020-06-25 | 
| Last Update Date | 2022-02-14 |