| NPI | 1477176642 |
|---|---|
| Former Name | STEPHANIE LEAH PETROSKEY HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS 903626) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: MS MS-903626) |
| 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: TN 024917) | |
| 2471C3402X Radiologic Technologist Radiography (Licence: TN 363070) | |
| 247200000X Technician, Other (Licence: TN S-82650) | |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |