NPI | 1700411956 |
---|---|
Former Name | CHLOE COLTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0030134) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH RN427784) |
Enumeration Date | 2020-03-09 |
Last Update Date | 2022-02-23 |