| NPI | 1841404217 | 
|---|---|
| Former Name | STACY LAURA ZWICK | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 5101016934)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016934)  | 
| Enumeration Date | 2007-05-09 | 
| Last Update Date | 2022-09-09 |