| NPI | 1578076345 |
|---|---|
| Former Name | TRACI HAMPTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022037) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5013815) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2023-03-15 |