| 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 | 2023-05-17 |