| NPI | 1205258753 |
|---|---|
| Former Name | STACY NICOLE BRATCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 749768) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 749768) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2024-01-24 |