| NPI | 1316502602 |
|---|---|
| Former Name | STEPHANIE WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MO 2019019628) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2021-08-09 |