NPI | 1649425380 |
---|---|
Former Name | STEPHANIE SPAHR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 10124) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA10124NP) |
Enumeration Date | 2008-11-21 |
Last Update Date | 2021-03-08 |