| NPI | 1497335319 |
|---|---|
| Former Name | STACY MICHAELA YANOFSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61581616) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10075278) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2025-11-18 |