| NPI | 1255369468 |
|---|---|
| Former Name | STEPHANIE HARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: ID NP571A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID N-27717) |
| 367A00000X Advanced Practice Midwife (Licence: ID CNM50A) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2014-05-09 |