| NPI | 1396164133 |
|---|---|
| Former Name | STEPHANIE LYNNE LA COUNT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NE 33432) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 33432) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2021-07-07 |