NPI | 1093108193 |
---|---|
Former Name | STEPHANIE WOLFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014032) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA MB3469067) |
Enumeration Date | 2015-03-13 |
Last Update Date | 2024-12-10 |