NPI | 1467297358 |
---|---|
Former Name | SHEILA HAIRE-GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0036799) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036799) |
Enumeration Date | 2024-07-01 |
Last Update Date | 2024-08-20 |