NPI | 1164659991 |
---|---|
Former Name | STEPHANIE A MARUCA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0013289) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS015947) |
Enumeration Date | 2009-06-19 |
Last Update Date | 2019-09-04 |