| NPI | 1154693539 |
|---|---|
| Former Name | STEPHANIE SUSAN ORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60642414) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60642414) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2019-03-04 |