| NPI | 1306607254 |
|---|---|
| Former Name | STEPHANIE D BAER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP029106) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP029106) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-08-07 |