| NPI | 1376333229 |
|---|---|
| Former Name | STACY MONTEIRO MENDES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI CAPRN04793) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN78538) |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2026-05-22 |