NPI | 1134307838 |
---|---|
Former Name | KASHENA BRIGITTE HERRING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0027382) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn 125960) |
Enumeration Date | 2008-02-05 |
Last Update Date | 2021-02-16 |