NPI | 1285399758 |
---|---|
Former Name | STEFANIE ANNE PAXTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A165560) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A165560) |
Enumeration Date | 2021-11-01 |
Last Update Date | 2024-02-22 |