| NPI | 1417942053 |
|---|---|
| Other Name | STACIE A COLWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 254910) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VT 042-0010725) |
| 208000000X Pediatrics (Licence: NH 15974) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2014-07-18 |