NPI | 1457906026 |
---|---|
Former Name | STEPHANIE LEEANN WESTFALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009394A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28209559A) |
363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71009394A) | |
Enumeration Date | 2019-08-09 |
Last Update Date | 2021-11-12 |