| NPI | 1003847898 |
|---|---|
| Former Name | STEPHANIE A WITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 83711) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 45310) |
| 207P00000X Emergency Medicine (Licence: OH 35086087) | |
| 207P00000X Emergency Medicine (Licence: NC 200400781) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-08-27 |