| NPI | 1003509241 |
|---|---|
| Former Name | STEPHANIE MARTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95000480) |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2024-02-07 |