NPI | 1023434214 |
---|---|
Former Name | ELIZABETH MARIANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5015167) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.15723-NP) |
Enumeration Date | 2014-03-11 |
Last Update Date | 2022-01-06 |