| NPI | 1184631368 |
|---|---|
| Other Name | STEPHANIE BETH DALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 59629) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101240064) |
| 208000000X Pediatrics (Licence: GA 059629) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-08-25 |