NPI | 1407136013 |
---|---|
Former Name | CINAMON L VAN HORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003822A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003822A) |
Enumeration Date | 2011-08-26 |
Last Update Date | 2022-10-20 |