| NPI | 1265826408 |
|---|---|
| Former Name | STEPHANIE PRITCHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P1004X Pediatrics, Physician Nutrition Specialist (Licence: CO DR.0060140) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 60140) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2025-04-23 |