NPI | 1730843079 |
---|---|
Former Name | ARIELLE MASON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0030046) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030046) |
Enumeration Date | 2021-10-22 |
Last Update Date | 2025-03-31 |