NPI | 1528623592 |
---|---|
Former Name | JACQUELINE MICHELLE BOYCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024649) |
Enumeration Date | 2019-05-06 |
Last Update Date | 2023-09-07 |