NPI | 1225462641 |
---|---|
Former Name | BROOKANA KOREEN KIRCHNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.15039-NP) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH CNP.15039) |
Enumeration Date | 2013-08-22 |
Last Update Date | 2022-07-21 |