NPI | 1699370312 |
---|---|
Former Name | TONJA R. FEARN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027031) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027031) |
Enumeration Date | 2020-12-01 |
Last Update Date | 2022-05-31 |