| NPI | 1174083349 |
|---|---|
| Former Name | STACI ELIZABETH OVERSTREET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: TN RN0000196004) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |