Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 35.132639 | OH |
Y | 207RP1001X | Pulmonary Disease | 35.132639 | OH |
NPI | 1043565252 |
---|---|
Provider Name | Miss Ismini Kourouni |
First Address | Cleveland, OH 44109-1900 |
Second Address | Cleveland, OH 44109-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2012 |
Last Update Date | 14/05/2019 |