| NPI | 1386186492 |
|---|---|
| Former Name | STEPHANIE MEGREGIAN FOURNIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11009642) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: VA 0024174032) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN11009642) | |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2021-04-07 |