| 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 |