| NPI | 1598150385 |
|---|---|
| Former Name | STEPHANIE A ZIEBARTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 896) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM RS2015-0280) |
| 208000000X Pediatrics (Licence: MN 61387) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2021-01-29 |