| NPI | 1568835742 |
|---|---|
| Former Name | STEFANIE MARIE BERNKLAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KS 13-93878) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |