| NPI | 1922457266 |
|---|---|
| Former Name | BARBIE MABEL DEARMAN STOCKEBRAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS DEAR-V213RW) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |