| 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 |