| NPI | 1508566845 |
|---|---|
| Former Name | STEPHANIE DAWN TERESA MAGNANI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310932-01) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |