NPI | 1124512306 |
---|---|
Former Name | JULIE LUCILLE FIORITO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.023388) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2019-04-16 |