| NPI | 1235497090 |
|---|---|
| Former Name | STEPHANIE JANE BEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IA DO-05033) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA DO-05033) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2021-07-27 |