NPI | 1487809943 |
---|---|
Former Name | STACEY M HITTMAN, SCHMIDT-PRISTELSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3643-33) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 6235) |
Enumeration Date | 2008-11-25 |
Last Update Date | 2020-06-12 |