| NPI | 1306322177 |
|---|---|
| Former Name | STACIA ELIZABETH HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014239A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH IP) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2023-09-08 |