NPI | 1811187933 |
---|---|
Former Name | TRISHA ANN PICKENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.07994) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.07994-NP) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2024-06-12 |