| NPI | 1003392564 |
|---|---|
| Former Name | STEPHANIE DESANTIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019050) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP019050) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2026-02-27 |