NPI | 1659726990 |
---|---|
Former Name | AMANDA CHRISTINE KASINECZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.19177) |
Enumeration Date | 2016-04-24 |
Last Update Date | 2023-01-14 |