NPI | 1699292805 |
---|---|
Former Name | LEA ELINA CRAVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024576) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.373215) |
363L00000X Nurse Practitioner (Licence: OH 024576) | |
363LF0000X Nurse Practitioner, Family (Licence: OH F03190398) | |
Enumeration Date | 2017-08-28 |
Last Update Date | 2023-03-01 |