| NPI | 1467710897 |
|---|---|
| Former Name | LAURA RENEE STEFANIAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 7931-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 7931-33) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2023-03-03 |