| NPI | 1285495168 |
|---|---|
| Former Name | STEPHANIE EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP027967) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP027967) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA MP8613956) | |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-02-28 |