NPI | 1467635664 |
---|---|
Professional Name | CAROL I PEAKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN-177161 NP-09813) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704194858 NP-C) |
Enumeration Date | 2007-12-11 |
Last Update Date | 2010-11-12 |