| NPI | 1073569091 |
|---|---|
| Former Name | STEFANIE R CROSNOE, MUNDAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201392013NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1698822) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2021-03-12 |