NPI | 1174299002 |
---|---|
Former Name | SAMANTHA DENISE AWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0027501) |
Enumeration Date | 2021-08-19 |
Last Update Date | 2021-08-19 |