| NPI | 1881199578 |
|---|---|
| Former Name | AMANDA CHRISTINE STACER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 50541) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 65935) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 29215) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-01-23 |