NPI | 1003681362 |
---|---|
Former Name | ALEXIS STOLTZFUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028719) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: PA SP028719) |
Enumeration Date | 2023-11-16 |
Last Update Date | 2023-11-16 |