| NPI | 1174381503 |
|---|---|
| Former Name | JACQUELINE MARIE SUTTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.0036712) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: OH RN.497736) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036712) | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2025-05-01 |