| NPI | 1417121971 |
|---|---|
| Former Name | STEPHANNIE MARIE BAEHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA C191382) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C191382) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2023-10-05 |