| NPI | 1386905446 |
|---|---|
| Former Name | STEPHANIE K SCHULZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.147749) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 47379) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2020-05-14 |