| NPI | 1407213846 |
|---|---|
| Former Name | ERIN P. DESTEFANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-77620-082) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2011022542) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2024-07-18 |