NPI | 1295266104 |
---|---|
Former Name | STEPHANIE ANN STRAMOTAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA A159605) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MA 283069) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2023-03-31 |