NPI | 1780434613 |
---|---|
Former Name | ABIGAIL WALSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036061) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0036061) |
Enumeration Date | 2024-03-25 |
Last Update Date | 2025-05-13 |