NPI | 1336195213 |
---|---|
Former Name | NANCY THEADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.06509) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.06509) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2024-10-08 |