NPI | 1225346406 |
---|---|
Former Name | KATHLEEN M. HERZBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 11188) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.11188) |
Enumeration Date | 2010-09-21 |
Last Update Date | 2020-11-03 |