NPI | 1124478508 |
---|---|
Former Name | LATOMA WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.19266-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.355366) |
Enumeration Date | 2016-06-16 |
Last Update Date | 2021-01-08 |