NPI | 1982110813 |
---|---|
Former Name | MICHELLE SERRATA STUCKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD AC004911) |
Enumeration Date | 2017-12-14 |
Last Update Date | 2025-09-02 |