| NPI | 1265051189 |
|---|---|
| Former Name | STEPHANIE MORALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS19940) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2025-11-13 |