NPI | 1336873033 |
---|---|
Former Name | LEAH ANNE KEITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH Le-0040651) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0031783) |
Enumeration Date | 2022-07-11 |
Last Update Date | 2022-07-12 |