| NPI | 1316490733 |
|---|---|
| Former Name | STEPHANIE M IRONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 25392) |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine (Licence: NC 5008784) |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5008784) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2021-11-01 |