NPI | 1508327834 |
---|---|
Former Name | STEFANIE ANNE ZANER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MD D93454) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-03-28 |
Last Update Date | 2022-05-12 |