NPI | 1598128068 |
---|---|
Former Name | STEPHANIE LYNNE KROWKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NV 24303) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D94472) |
Enumeration Date | 2016-04-01 |
Last Update Date | 2023-10-13 |