| NPI | 1245269018 |
|---|---|
| Former Name | STACY GARRETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0059648) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0059648) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2021-02-10 |