| NPI | 1366656209 |
|---|---|
| Former Name | SUSAN MARIE STEFANAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A114061) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A114061) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2016-03-15 |