| NPI | 1023544186 |
|---|---|
| Other Name | STEPHANY LYNNE ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036160077) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.071026) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-08-26 |