| NPI | 1841775947 |
|---|---|
| Former Name | STACY LYNN PAINTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0055982) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK R0055982) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |