NPI | 1750765327 |
---|---|
Former Name | JENNIFER A TUCHOLSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.17630) |
Enumeration Date | 2015-07-14 |
Last Update Date | 2021-07-29 |