NPI | 1144435272 |
---|---|
Former Name | ANNIE M PUGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP-07209) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-252483) |
363L00000X Nurse Practitioner (Licence: OH COA.07209-NP) | |
Enumeration Date | 2007-05-11 |
Last Update Date | 2022-01-26 |