| NPI | 1386001154 |
|---|---|
| Former Name | STACI J DOUCETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 10173) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704210616) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2020-10-12 |