| NPI | 1144956509 |
|---|---|
| Former Name | MCKENZIE BEAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0031846) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 0031846) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2024-06-12 |