| NPI | 1417907189 |
|---|---|
| Former Name | STACY L SIBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002173A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28140959A) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-11-20 |