NPI | 1699531681 |
---|---|
Former Name | MAKENZIE ALLREAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0034315) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 2023063242) |
Enumeration Date | 2024-02-26 |
Last Update Date | 2024-10-15 |