| NPI | 1346446424 |
|---|---|
| Former Name | STEFANIE MELISSA WATKINS NANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01061158A) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2023-08-31 |