| NPI | 1982878914 |
|---|---|
| Former Name | STACY A HARMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD60692745) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2013023318) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2017-07-28 |