NPI | 1891091062 |
---|---|
Former Name | KELLI MCNAMARA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.11248-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.287692-COA1) |
Enumeration Date | 2011-02-04 |
Last Update Date | 2022-01-25 |