| NPI | 1417083452 |
|---|---|
| Former Name | STEPHANIE JUISTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME109177) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301063744) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2021-05-06 |