NPI | 1295329423 |
---|---|
Other Name | STACY ELLIS FRANZEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25249) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-02-28 |
Last Update Date | 2022-05-19 |