NPI | 1881139897 |
---|---|
Former Name | IESHA SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026689) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL F1016311) |
Enumeration Date | 2016-12-29 |
Last Update Date | 2020-12-24 |