NPI | 1740635077 |
---|---|
Former Name | HOLLY VACULIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 377956) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.020095) |
Enumeration Date | 2016-04-23 |
Last Update Date | 2024-01-30 |