NPI | 1932977352 |
---|---|
Former Name | STEPHANIE ELIZABETH FOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5019428) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5019428) |
363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.0035543) | |
Enumeration Date | 2023-12-14 |
Last Update Date | 2024-05-08 |