NPI | 1760726624 |
---|---|
Former Name | MARGARET ELLEN CUNNINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.13954-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.343514-COA1) |
Enumeration Date | 2012-11-16 |
Last Update Date | 2017-08-23 |