NPI | 1932854197 |
---|---|
Former Name | SARAH SIMICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030769) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 421827) |
Enumeration Date | 2022-02-16 |
Last Update Date | 2024-05-08 |