| NPI | 1164994406 |
|---|---|
| Former Name | STEPHANIE J HINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 24761) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 24761) |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2025-05-09 |