NPI | 1780931477 |
---|---|
Former Name | JULIE A DOBOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.003549RX) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 003549) |
Enumeration Date | 2012-08-13 |
Last Update Date | 2024-09-04 |