| NPI | 1083090948 |
|---|---|
| Former Name | STACY LEA MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029443) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R144742) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2024-06-21 |