| NPI | 1467920355 |
|---|---|
| Former Name | STEPHANIE GWYNN SCHANDERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN230928) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: GA RN230928) |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-12-14 |