| NPI | 1437894110 |
|---|---|
| Former Name | STACEY SHEETS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SL0600X Clinical Nurse Specialist, Long-Term Care (Licence: OH LPN.154063.MEDS-IV) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |