NPI | 1275799173 |
---|---|
Former Name | AHNYA M BOOZE-LOVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201801075NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH AP126377) |
Enumeration Date | 2008-07-31 |
Last Update Date | 2018-04-11 |