NPI | 1447436183 |
---|---|
Former Name | MARY LOUISE BAIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.09217) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 219720) |
Enumeration Date | 2008-01-11 |
Last Update Date | 2023-03-07 |