| NPI | 1982100616 |
|---|---|
| Former Name | STACIA SHARONA BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T9160) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR PG207102) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2023-05-17 |