| NPI | 1730682873 |
|---|---|
| Former Name | STACY NICOLE JUDE ESPOSITO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN1003X Registered Nurse, Nutrition Support (Licence: NY 587042) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |