| NPI | 1316254287 |
|---|---|
| Former Name | STACY ANN LYNCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209011362) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: IL 041-338805) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2020-05-20 |