| NPI | 1114655024 |
|---|---|
| Former Name | STEPHANIE MARIE COX |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032105) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 00041729) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-09-22 |