NPI | 1245841238 |
---|---|
Former Name | STEPHANIE STOKES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.023647) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH RN.446943) |
Enumeration Date | 2020-08-12 |
Last Update Date | 2023-10-17 |