NPI | 1629326657 |
---|---|
Former Name | CHARITY NICHOLE SULFRIDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.06773) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.06773) |
Enumeration Date | 2012-08-23 |
Last Update Date | 2025-01-15 |