| NPI | 1770742462 |
|---|---|
| Former Name | STACY LEMASTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012868) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28150715A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71002094A) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2023-01-04 |