NPI | 1609396704 |
---|---|
Former Name | MARJORIE FRANCES FREISTHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021006) |
Enumeration Date | 2017-06-21 |
Last Update Date | 2021-10-19 |