NPI | 1861015182 |
---|---|
Former Name | DYAN ELIZABETH HAMERCHECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0026812) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 423704) |
Enumeration Date | 2020-05-20 |
Last Update Date | 2020-06-24 |