NPI | 1285037440 |
---|---|
Former Name | ANGELICA MARIE PYLICAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.16184) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.16184) |
Enumeration Date | 2014-10-02 |
Last Update Date | 2023-11-13 |