NPI | 1760995831 |
---|---|
Former Name | SAUNDRA STAMPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R239128) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007628A) |
Enumeration Date | 2017-11-13 |
Last Update Date | 2020-08-31 |