NPI | 1104253665 |
---|---|
Former Name | LINDA WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15457) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN339175) |
363L00000X Nurse Practitioner (Licence: OH COA.15457NP) | |
Enumeration Date | 2013-09-30 |
Last Update Date | 2022-07-21 |