NPI | 1912472457 |
---|---|
Former Name | KATLIN SANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.023752) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F10180357) |
Enumeration Date | 2018-10-11 |
Last Update Date | 2021-06-03 |