NPI | 1205262474 |
---|---|
Professional Name | STACEY M PEARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 92358484405) |
Enumeration Date | 2013-09-19 |
Last Update Date | 2020-10-01 |