| NPI | 1306411749 |
|---|---|
| Former Name | STEPHANIE ALEXANDRA ZEMBKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 9775) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 151229) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2023-09-07 |