NPI | 1235778481 |
---|---|
Former Name | TAYA MILLER KNECHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026274) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH 320994) |
Enumeration Date | 2020-01-04 |
Last Update Date | 2022-08-16 |