| NPI | 1215019617 |
|---|---|
| Former Name | STACIA RAPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2008-00687) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 24964) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2021-03-04 |