NPI | 1881007300 |
---|---|
Former Name | KRISTEN E ROSHON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15978-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.359212-) |
Enumeration Date | 2014-06-03 |
Last Update Date | 2020-05-27 |