| NPI | 1912152588 |
|---|---|
| Former Name | STACEY E PIKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 019684-1) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CT 283920) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2018-01-30 |