| NPI | 1023406162 |
|---|---|
| Former Name | STEPHANIE E WADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist Family Health (Licence: GA RN256117) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist Family Health (Licence: PA SP014653) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2018-04-26 |