NPI | 1992763569 |
---|---|
Professional Name | STACY MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ rn134146) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 134146) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2011-01-17 |