| NPI | 1164759585 |
|---|---|
| Former Name | STEPHANIE NORMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R174817) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN225137) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1038350) | |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: MD R174817) | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2017-05-08 |