NPI | 1164689410 |
---|---|
Former Name | LATOYA F. STUCKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R157845) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R157845) |
Enumeration Date | 2008-05-22 |
Last Update Date | 2024-12-12 |