| NPI | 1528453362 |
|---|---|
| Other Name | STACIA A GROVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024172491) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024172491) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2024-10-24 |