| NPI | 1285229807 |
|---|---|
| Former Name | STEPHANIE MICHELLE PERSHINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 113768) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN285569) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2022-12-08 |