NPI | 1598059727 |
---|---|
Former Name | DENAE N NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17091-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1173977) |
Enumeration Date | 2011-06-06 |
Last Update Date | 2021-08-04 |