NPI | 1174805253 |
---|---|
Former Name | SUSAN M DEHART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH CNP.12656) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.12656-NP) |
Enumeration Date | 2011-09-14 |
Last Update Date | 2024-10-02 |