NPI | 1366703340 |
---|---|
Former Name | STEPHANIE C ROYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.128331) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.128331) |
Enumeration Date | 2012-06-06 |
Last Update Date | 2018-08-23 |