| NPI | 1477061463 |
|---|---|
| Former Name | STEFANIE MARIE RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2295972) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2295972) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2024-12-23 |