| NPI | 1255734836 |
|---|---|
| Former Name | STEPHANIE SORICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016020292) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2016024180) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2019009779) | |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2021-10-20 |