NPI | 1528084282 |
---|---|
Former Name | STACI W FOOSHEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3004803) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3004803) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2024-09-03 |