NPI | 1528367828 |
---|---|
Former Name | VERLENA EDDINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.19244-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN337810) |
Enumeration Date | 2011-03-25 |
Last Update Date | 2016-12-09 |