NPI | 1295394187 |
---|---|
Former Name | STEPHANIE ELISE IHDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IA DO-05681) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11571) |
Enumeration Date | 2019-06-13 |
Last Update Date | 2022-07-18 |