| NPI | 1225616758 |
|---|---|
| Former Name | STEPHANIE NICOLE LIEBENTRITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2024-04-02 |