| NPI | 1417421579 |
|---|---|
| Former Name | STEPHANIE M DOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2018038759) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2018038759) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2021-10-20 |