| NPI | 1609981968 |
|---|---|
| Former Name | STACY M BISHOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS013789) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TN DO2565) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-10-24 |