| NPI | 1841443843 |
|---|---|
| Professional Name | STACY HOLDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3583) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PR65) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2014-06-10 |