NPI | 1932704848 |
---|---|
Former Name | MALAIKA QUICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027748) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH APRN.CNP.0027748) |
Enumeration Date | 2020-12-01 |
Last Update Date | 2024-10-25 |