| NPI | 1659181105 |
|---|---|
| Former Name | ELIZABETH STACHNIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704363158) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4704363158) |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2026-07-16 |