| NPI | 1316443161 |
|---|---|
| Former Name | STEPHANIE ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008170A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 28342) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-08-16 |