NPI | 1154860336 |
---|---|
Former Name | ALEASA MARIE KNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.020515) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH RN372312) |
Enumeration Date | 2017-02-21 |
Last Update Date | 2021-07-21 |