NPI | 1467817593 |
---|---|
Former Name | PAMELA KOLESAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 18462 NP) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH RN334886-1) |
Enumeration Date | 2015-12-16 |
Last Update Date | 2015-12-16 |