NPI | 1386107621 |
---|---|
Former Name | STEPHANIE NICOLE COMMET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11001606) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN110016) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001606) | |
Enumeration Date | 2019-04-12 |
Last Update Date | 2023-09-20 |