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 |