NPI | 1093198558 |
---|---|
Former Name | REBECCA SILJANOVSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17335) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.17335-NP) |
Enumeration Date | 2015-07-02 |
Last Update Date | 2024-10-12 |