| NPI | 1457111528 | 
|---|---|
| Other Name | STEPHANIE MONGE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 356216)  | 
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 698643)  | 
| Enumeration Date | 2024-03-19 | 
| Last Update Date | 2025-03-06 |