| NPI | 1356784656 |
|---|---|
| Former Name | STACEY ANN ABRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301105431) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2018-05-09 |