NPI | 1588801120 |
---|---|
Former Name | KRISTINA ANNETTE RONNEBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.10225) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP-10225) |
Enumeration Date | 2009-01-20 |
Last Update Date | 2019-12-20 |