| 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 |