| NPI | 1215253471 |
|---|---|
| Former Name | STEFANIE VINCENZINA STACHURA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME123257) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 49441) |
| 208D00000X General Practice (Licence: FL ME123257) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2016-12-22 |