| NPI | 1295177848 |
|---|---|
| Other Name | STACI KRISANN SPAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 5006345) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006345) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2023-10-17 |