NPI | 1063828739 |
---|---|
Professional Name | MICHELLE LASSITER-STEPHENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 833832) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN180512) |
Enumeration Date | 2014-07-02 |
Last Update Date | 2021-12-30 |