NPI | 1285384321 |
---|---|
Former Name | REBECCAH LINDSEY STANSBERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 288965) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95248952) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95020127) | |
Enumeration Date | 2022-03-23 |
Last Update Date | 2023-06-15 |