| NPI | 1184147456 |
|---|---|
| Former Name | STEPHANIE SANCHEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015948) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL RN9373249) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2023-05-01 |