| NPI | 1245670744 |
|---|---|
| Former Name | STEPHANIE E IRWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2015018629) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2013018529) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2019-03-25 |