NPI | 1750892717 |
---|---|
Former Name | CARRIE LYNN HAMROCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021046) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH APRN.CNP.021046) |
Enumeration Date | 2017-10-18 |
Last Update Date | 2022-07-19 |