NPI | 1245697085 |
---|---|
Former Name | CHRISTA RENEE BAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.18500) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3009885) |
Enumeration Date | 2016-01-25 |
Last Update Date | 2023-09-18 |