NPI | 1447671730 |
---|---|
Former Name | AMANDA KAY KOLB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15403) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15403-NP) |
Enumeration Date | 2014-01-03 |
Last Update Date | 2018-05-29 |