NPI | 1073952990 |
---|---|
Former Name | STEPHANIE MARIE WINDER SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14464-NP) |
Enumeration Date | 2013-06-25 |
Last Update Date | 2019-08-15 |