NPI | 1982916250 |
---|---|
Former Name | JULIE L. ANTONELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.12599) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.299833) |
364S00000X Clinical Nurse Specialist (Licence: OH APRN.CNS.10638) | |
Enumeration Date | 2010-07-02 |
Last Update Date | 2018-10-01 |