| NPI | 1215107826 |
|---|---|
| Former Name | SHERRI BERNIECE STACEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 1139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL0532) |
| 207R00000X Internal Medicine (Licence: AZ R70145) | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2024-07-22 |