| NPI | 1225027436 |
|---|---|
| Former Name | STEPHANIE ROSE PERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: WA MD00041718) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: ID 7761579) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2025-07-24 |