| NPI | 1437837788 |
|---|---|
| Former Name | STEPHANIE SHOPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0036848) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2024-07-15 |