| NPI | 1245313832 |
|---|---|
| Former Name | STACEY L RICHMOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71002266) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28166524) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2016-01-19 |