NPI | 1881027555 |
---|---|
Former Name | AMY JO KROEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.023544) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71005582A) |
363LA2100X Nurse Practitioner, Acute Care (Licence: OH 14942) | |
Enumeration Date | 2013-08-16 |
Last Update Date | 2018-12-18 |