NPI | 1356894745 |
---|---|
Former Name | REBECCA DANIELLE BOHLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019602) |
Enumeration Date | 2016-08-02 |
Last Update Date | 2016-08-02 |