NPI | 1124431531 |
---|---|
Other Name | STACY BETH TUCKER PERDUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WD0400X Registered Nurse Diabetes Educator (Licence: GA RN089977) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN089977) |
Enumeration Date | 2014-06-04 |
Last Update Date | 2019-02-01 |