NPI | 1437674363 |
---|---|
Former Name | ABIGAIL MCCLINTOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0035185) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.517684) |
Enumeration Date | 2017-08-11 |
Last Update Date | 2023-12-12 |