NPI | 1255839841 |
---|---|
Former Name | STEPHANIE NICOLE RAMIREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-136741) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-136741) |
Enumeration Date | 2018-01-29 |
Last Update Date | 2022-01-26 |