| NPI | 1487243994 |
|---|---|
| Former Name | STEPHANIE HUEZO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95022032) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 758349) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 383120) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 758349-1) | |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2023-03-28 |