NPI | 1831147719 |
---|---|
Former Name | TERRY AERY TUTTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH pn 099979) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 099979) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2007-07-09 |