| NPI | 1134560667 |
|---|---|
| Former Name | STEPHANIE COREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124043) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 734014) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 734014) | |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2021-09-13 |