| NPI | 1023622149 |
|---|---|
| Former Name | STEPHANIE LANE DEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024179655) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179655) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2025-01-07 |