NPI | 1033190822 |
---|---|
Former Name | STEPHANIE LOIS FOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI md-11706) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: HI 11706) |
Enumeration Date | 2005-11-08 |
Last Update Date | 2020-06-29 |