NPI | 1659810737 |
---|---|
Former Name | KIMBERLY ANN SARGENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020535) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN217101 APRN020535) |
Enumeration Date | 2017-02-22 |
Last Update Date | 2021-01-28 |