NPI | 1285994772 |
---|---|
Former Name | STACEY N HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021021) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH Rn438869) |
Enumeration Date | 2012-05-18 |
Last Update Date | 2020-07-16 |