NPI | 1669853156 |
---|---|
Former Name | CHARITY PAUL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.19008-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010096) |
363LF0000X Nurse Practitioner, Family (Licence: IN 71006234A) | |
Enumeration Date | 2015-06-10 |
Last Update Date | 2023-09-19 |