NPI | 1194169599 |
---|---|
Former Name | KAREN ANNE STEVENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306469-1) |
Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: NY 631831) |
Enumeration Date | 2013-04-29 |
Last Update Date | 2016-10-17 |