NPI | 1770026569 |
---|---|
Former Name | LAURA MADELINE HASSAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.19129) |
Enumeration Date | 2016-11-28 |
Last Update Date | 2016-12-06 |