NPI | 1841742814 |
---|---|
Former Name | ASHLEIGH M MADDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020163) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN360672) |
Enumeration Date | 2016-10-26 |
Last Update Date | 2016-11-04 |