Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 34-011538 | OH |
NPI | 1285945030 |
---|---|
Provider Name | Dr. Katherine Hovsepian Eilenfeld |
First Address | Westlake, OH 44145-2398 |
Second Address | Westlake, OH 44145-8201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2010 |
Last Update Date | 07/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0115816 | (05) | OH |