NPI | 1396404570 |
---|---|
Former Name | KAYLA MARIE SANDLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030369) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030369) |
Enumeration Date | 2021-12-15 |
Last Update Date | 2023-06-19 |