NPI | 1316436017 |
---|---|
Former Name | KAITLYN NICHOLE THORNTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023571) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.023571) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-05-08 |
Last Update Date | 2024-04-29 |