| NPI | 1154870129 |
|---|---|
| Former Name | STACI S MCDOWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201700406NP-PP) |
| Enumeration Date | 2016-10-01 |
| Last Update Date | 2019-02-12 |