NPI | 1861041857 |
---|---|
Former Name | KATIE LEE GALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025633) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.365172) |
Enumeration Date | 2019-09-11 |
Last Update Date | 2021-10-27 |