| NPI | 1417208463 |
|---|---|
| Former Name | STEPHANIE DORA POSTMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704272685) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704272685) |
| Enumeration Date | 2012-09-29 |
| Last Update Date | 2014-10-27 |