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 |