| NPI | 1386234037 |
|---|---|
| Former Name | STEPHANIE HOFF PEDERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2021004837) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 53-79907-022) |
| 208000000X Pediatrics (Licence: MO 2021004837) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 53-79907-022) | |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2022-04-25 |