NPI | 1578076345 |
---|---|
Former Name | TRACI HAMPTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022037) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5013815) |
363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022037) | |
Enumeration Date | 2017-11-14 |
Last Update Date | 2024-11-01 |