NPI | 1215310602 |
---|---|
Former Name | EMILEE JEAN DIRR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17562) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F0715119) |
Enumeration Date | 2015-07-02 |
Last Update Date | 2018-03-16 |