| NPI | 1912547332 |
|---|---|
| Former Name | STEPHANIE MARIE MCCARROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036130) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN347723) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2024-07-01 |