| NPI | 1376205963 |
|---|---|
| Former Name | STEPHANIE MANOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NC 153) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 153) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2025-05-07 |