| NPI | 1790185668 |
|---|---|
| Former Name | STACY ELIZABETH SCHLEGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704243827) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704243827) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-12-29 |