| NPI | 1679127732 |
|---|---|
| Former Name | ELLEN GRACE MCCONVILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.025275) |
| Enumeration Date | 2019-07-27 |
| Last Update Date | 2020-11-24 |