NPI | 1720273246 |
---|---|
Former Name | AMY NEVILLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.08159) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 08159) |
Enumeration Date | 2007-09-07 |
Last Update Date | 2017-11-09 |