NPI | 1508326042 |
---|---|
Former Name | REBECCA ANN KILKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024434) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.386939) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2019-10-02 |