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 |