| NPI | 1750861969 |
|---|---|
| Former Name | STACEY ALLYSUN LANSDOWNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8624) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 197066) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 8624) | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2021-11-24 |