NPI | 1417400136 |
---|---|
Former Name | NICOLE MASEVICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH APRN.CNP.019558) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: OH APRN.CNP.019558) |
Enumeration Date | 2016-07-28 |
Last Update Date | 2016-10-09 |