NPI | 1134598725 |
---|---|
Former Name | ESTHER FANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA-17106) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA-17106) |
Enumeration Date | 2015-09-24 |
Last Update Date | 2023-11-06 |