| NPI | 1285242933 |
|---|---|
| Former Name | STEPHNIE LYNN SPENCER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 1002474) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2022-10-12 |