| NPI | 1497884134 |
|---|---|
| Former Name | STEFANI JANE VOUDRIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085005584) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096.002319) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2015-09-25 |