NPI | 1093831752 |
---|---|
Former Name | SHERRIE LEE STACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA ap30005584) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 078041931n1 fnp-pp) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2007-07-08 |