NPI | 1760809552 |
---|---|
Former Name | STACIE NAJDEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004890A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28164563A) |
Enumeration Date | 2014-03-18 |
Last Update Date | 2023-10-16 |