| NPI | 1215148077 |
|---|---|
| Former Name | STACE VALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301084180) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301084180) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2018-12-05 |