| NPI | 1063412468 |
|---|---|
| Other Name | AMY J STACEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA01024) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA0124) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2021-07-28 |