| NPI | 1235804469 |
|---|---|
| Former Name | STEPHANY HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11014641) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014641) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2022-01-13 |