NPI | 1427441856 |
---|---|
Former Name | STEPHANIE KAY DUFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9480590) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005521A) |
Enumeration Date | 2015-03-10 |
Last Update Date | 2022-07-30 |