NPI | 1609565035 |
---|---|
Former Name | HEATHER TERRICE BOWDITCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0034081) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH RN.350456) |
Enumeration Date | 2023-05-02 |
Last Update Date | 2023-08-31 |