| NPI | 1013274778 |
|---|---|
| Former Name | STEPHANIE MICHAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 202102083) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-126339) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2023-01-23 |