| NPI | 1962040501 |
|---|---|
| Former Name | DOMINIQUE ROCHELLE PURDIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71015644A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025226) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025226) | |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2024-08-19 |