| NPI | 1326175738 |
|---|---|
| Former Name | STEPHANIE SPAULDING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 063431) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 200600921) |
| 208000000X Pediatrics (Licence: TN 0000042232) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-09-06 |