NPI | 1548741085 |
---|---|
Former Name | ASHLEY ROESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023953) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH RN.385054) |
Enumeration Date | 2018-08-23 |
Last Update Date | 2021-02-05 |