NPI | 1801367115 |
---|---|
Former Name | KIMBERLY MARGARET DEBOARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022816) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022816) |
Enumeration Date | 2018-12-13 |
Last Update Date | 2024-06-03 |