| NPI | 1427660315 |
|---|---|
| Former Name | SELENA SKYE MCLEOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036190) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 472778) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2024-09-15 |