NPI | 1962134403 |
---|---|
Other Name | STACEY MOSTEK-GARLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61261005) |
Enumeration Date | 2022-06-24 |
Last Update Date | 2023-10-18 |