| NPI | 1861145369 |
|---|---|
| Former Name | SANDRA KAY MCDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030988) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.343220) |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-04-05 |