NPI | 1417479957 |
---|---|
Former Name | KATELYN RENEE HEATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH APRN.CNP.021262) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: OH 388092) |
Enumeration Date | 2017-07-15 |
Last Update Date | 2022-07-21 |