| NPI | 1710972492 |
|---|---|
| Former Name | STACY A YODER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME 113754) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 32386) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2013-07-29 |