| NPI | 1780607606 |
|---|---|
| Former Name | STACY LYNN PEARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD205244) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01066923A) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-07-19 |