| NPI | 1568558534 |
|---|---|
| Former Name | PAMELA JOANNE STUCHLAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 00971 NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN162016) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2013-09-30 |