NPI | 1730524869 |
---|---|
Former Name | KALLIE BURGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.500310) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.142053.MEDS-IV) |
Enumeration Date | 2013-05-02 |
Last Update Date | 2021-12-09 |