| NPI | 1245202134 |
|---|---|
| Former Name | STEPHANIE J SOLOMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024167363) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK R0075617) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-10-04 |