| NPI | 1104184977 |
|---|---|
| Former Name | STEPHANIE NAGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MA 1088) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MD 01223) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2016-02-17 |