| NPI | 1003106436 |
|---|---|
| Former Name | STEPHANIE HUMBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 281722) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A122712) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MA 281722) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2021-12-01 |