| NPI | 1508847286 |
|---|---|
| Other Name | STEPHANIE SUSAN COMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R125748) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP009117) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2008-08-12 |