NPI | 1952968851 |
---|---|
Former Name | SWETHA SURESH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.025190) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.403246) |
363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025190) | |
Enumeration Date | 2019-05-26 |
Last Update Date | 2024-01-03 |