| NPI | 1114366127 |
|---|---|
| Former Name | STEPHANIE ENGLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 81952) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 5545) |
| 207Q00000X Family Medicine (Licence: NV DO2014) | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2023-03-10 |