| NPI | 1154542660 |
|---|---|
| Former Name | LYNN ANNE STACKHOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.09403-NP) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-10-18 |