NPI | 1144766676 |
---|---|
Former Name | DOMINIQUE FLOYD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH Aprn.cnp.0030516) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN432341) |
Enumeration Date | 2017-01-08 |
Last Update Date | 2023-04-18 |