NPI | 1235624271 |
---|---|
Former Name | MAKILAH WITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP0035051) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 451968) |
Enumeration Date | 2018-06-22 |
Last Update Date | 2023-11-01 |