| NPI | 1396829065 |
|---|---|
| Former Name | STACY ANN MARKUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator (Licence: OK 21410447) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 3570) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-09-21 |