| NPI | 1568705002 |
|---|---|
| Former Name | STEPHANIE ROSE CARVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 14244) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ND PT 14244) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2022-03-28 |