NPI | 1295260073 |
---|---|
Former Name | STEPHANIE DENISE JOINER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141535) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 22592) |
Enumeration Date | 2017-04-28 |
Last Update Date | 2022-08-23 |