| NPI | 1730719311 |
|---|---|
| Former Name | STACIE LEIGH SAGESTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3014209) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2024-12-20 |