NPI | 1639788110 |
---|---|
Former Name | STEPHANIE JACLYN SZLOSEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027094) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027094) |
Enumeration Date | 2020-07-30 |
Last Update Date | 2024-07-19 |