NPI | 1275730566 |
---|---|
Former Name | KELLIE R HAMMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.09494-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN227-299) |
Enumeration Date | 2007-06-29 |
Last Update Date | 2017-10-05 |