| NPI | 1841872165 |
|---|---|
| Former Name | STACEY MEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 219394) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: LA 219394) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2025-02-14 |