| NPI | 1023251352 |
|---|---|
| Former Name | STACY LEE PUFAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9374315) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9374315) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2019-05-09 |