| NPI | 1639432057 |
|---|---|
| Former Name | CYNTHIA ANN STOGSDILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013000291) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2000148587) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2019-04-29 |