NPI | 1184957045 |
---|---|
Former Name | STEPHANIE A CORWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.11231-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.184449) |
Enumeration Date | 2009-09-10 |
Last Update Date | 2016-01-19 |