NPI | 1104256890 |
---|---|
Former Name | STEPHANIE FIORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23290) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN 1617) |
Enumeration Date | 2013-11-18 |
Last Update Date | 2018-03-17 |