| NPI | 1205112471 |
|---|---|
| Former Name | STACEY ELIZABETH MERCER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106270) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: FL PA9106270) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2023-10-26 |