NPI | 1740296573 |
---|---|
Former Name | STACY USHER WEINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170849) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 495950) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2016-03-08 |