| NPI | 1487843629 |
|---|---|
| Former Name | STEPHANIE DANIELLE SHUMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN129406) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 0050-03637) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 145272) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2018-03-14 |