NPI | 1447271804 |
---|---|
Former Name | STEFANIE D NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP019735) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 686455) |
363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420789) | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2019-02-26 |