| NPI | 1164484846 |
|---|---|
| Former Name | STEPHANIE HEATHER PEPPLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036113810) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2005022738) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2020-12-22 |