NPI | 1316230121 |
---|---|
Former Name | STEPHANIE MARIE HORANIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704220770) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704220770) |
Enumeration Date | 2011-05-26 |
Last Update Date | 2025-03-31 |