| NPI | 1396166989 |
|---|---|
| Former Name | ROXANNE STEVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18192-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011135) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2015-12-04 |