| NPI | 1275707358 |
|---|---|
| Former Name | STEPHANIE LYNN TESSING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA MT201541) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.096286) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2012-07-19 |