NPI | 1689829137 |
---|---|
Former Name | ANDREA GWENDOLINE SPEELMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.10493) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN 331800) |
Enumeration Date | 2008-11-25 |
Last Update Date | 2024-09-24 |