NPI | 1083960645 |
---|---|
Former Name | SAMANTHA FRANCES URBAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.13653) |
Enumeration Date | 2012-07-31 |
Last Update Date | 2016-09-26 |