| NPI | 1558664979 |
|---|---|
| Former Name | STACY SCHOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OR 201041174RN) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MT 28373) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |