| 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 |