NPI | 1639731656 |
---|---|
Former Name | JESSICA LAUREN KLEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.026033) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: OH RN.402477) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH APRN.CNP.026033) | |
Enumeration Date | 2019-06-29 |
Last Update Date | 2019-12-18 |