NPI | 1437337474 |
---|---|
Former Name | BRENDA S MANSFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.08623-NP) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA.08623-NP) |
Enumeration Date | 2008-02-01 |
Last Update Date | 2016-03-04 |