| NPI | 1679699078 |
|---|---|
| Former Name | ELIZABETH ANNE KINKADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.07443) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP-07443) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-11-19 |