| NPI | 1184183113 |
|---|---|
| Former Name | STACEY SEITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008945A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28191280A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN F03190067) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2023-10-23 |