NPI | 1154307882 |
---|---|
Other Name | BARBARA WADE PELLEGRIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP01667) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: OH RN213748) |
Enumeration Date | 2005-12-15 |
Last Update Date | 2013-07-08 |