| NPI | 1235440348 |
|---|---|
| Former Name | STEPHANIE ROSE VITALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301104628) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.057882) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2016-10-28 |