| 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 |