| NPI | 1558716324 |
|---|---|
| Former Name | STACY LYNN BECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704244140) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704244140) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704244140) | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2024-10-28 |