| NPI | 1497169155 |
|---|---|
| Former Name | STEPHANIE LYNN COWHERD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO DR.0058385) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO TL.000527) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0005271) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2019-12-11 |