NPI | 1275800815 |
---|---|
Former Name | JOCELYN HILARY STAUFFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3016045) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3016045) |
363L00000X Nurse Practitioner (Licence: TN 16337) | |
363L00000X Nurse Practitioner (Licence: PA SP020161) | |
Enumeration Date | 2011-11-28 |
Last Update Date | 2021-09-29 |