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 |