NPI | 1457670150 |
---|---|
Former Name | STACY LEE HESSIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 183312) |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: AK 29122) |
Enumeration Date | 2010-05-20 |
Last Update Date | 2022-09-21 |