| NPI | 1316396641 |
|---|---|
| Former Name | STEPHANIE ANN STONEBACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ 25MA11415800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C7-0007022) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2022-06-22 |