NPI | 1366623290 |
---|---|
Former Name | STEFANIE M WINTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-02769) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2259895) |
Enumeration Date | 2007-11-20 |
Last Update Date | 2021-05-15 |