| NPI | 1104355627 |
|---|---|
| Former Name | ABBEY STOUTAMIRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 162619) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2026-03-02 |