| NPI | 1306286927 |
|---|---|
| Former Name | STEPHANIE MARIE MANCINI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401604) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2018-11-19 |