| NPI | 1336568401 |
|---|---|
| Former Name | STEPHANIE KELLY CHANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60671193) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2024-02-29 |