| NPI | 1942560149 |
|---|---|
| Former Name | STACI L. ALTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71005133) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28215108A) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2016-01-12 |