NPI | 1932472859 |
---|---|
Former Name | KRISTEN R RUTHENBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 13147-NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 13147) |
363LF0000X Nurse Practitioner, Family (Licence: OH 13147) | |
Enumeration Date | 2012-02-23 |
Last Update Date | 2023-06-15 |