NPI | 1578234860 |
---|---|
Former Name | STACIE LEE STEELE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 113835) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 69359) |
Enumeration Date | 2021-09-26 |
Last Update Date | 2023-10-18 |