NPI | 1972285310 |
---|---|
Former Name | SAMANTHA JEANNE BUROFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034755) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.378024) |
Enumeration Date | 2023-08-04 |
Last Update Date | 2023-10-17 |