NPI | 1154167575 |
---|---|
Former Name | SOPHIA JANE MAPES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704375644) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036767) |
Enumeration Date | 2024-07-04 |
Last Update Date | 2024-07-04 |