| NPI | 1225006695 |
|---|---|
| Former Name | ANGELA M STEFANICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2700) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 2700033) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2025-01-29 |