| NPI | 1497411821 |
|---|---|
| Former Name | STEPHANIE LYNN MCCOURT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 010969) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 169430) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2023-01-17 |