NPI | 1003205790 |
---|---|
Former Name | JANET ROSE TOWERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 179514-16195) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH 179514) |
Enumeration Date | 2015-01-18 |
Last Update Date | 2016-05-06 |