| NPI | 1023329208 |
|---|---|
| Former Name | STEPHANIE ANN CARAPETIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WA MD60292559) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2016-08-05 |