NPI | 1780254888 |
---|---|
Former Name | MERCYDES LEIGH HAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0028574) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028574) |
Enumeration Date | 2021-06-30 |
Last Update Date | 2024-05-07 |