NPI | 1871592980 |
---|---|
Former Name | LEILA DENISE BOVILLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH np06645) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.06645) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2020-02-27 |