NPI | 1326349788 |
---|---|
Other Name | STEPHANIE DIANE GALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.12216) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 348953) |
Enumeration Date | 2010-11-16 |
Last Update Date | 2019-07-25 |