NPI | 1952738460 |
---|---|
Former Name | ASHLINN KIPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0029259) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 86005375) |
Enumeration Date | 2013-09-28 |
Last Update Date | 2022-12-19 |