| NPI | 1548540503 |
|---|---|
| Former Name | ANNIE ELIZABETH STEPHENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: DE LB0000253) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L10032644) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |