| NPI | 1538113790 |
|---|---|
| Former Name | AGNES M STACIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME165800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 1538113790) |
| 207P00000X Emergency Medicine (Licence: CA A77262) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2025-03-13 |