NPI | 1598999849 |
---|---|
Former Name | STEPHANIE HORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MO 2018044679) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 13926) |
Enumeration Date | 2009-05-14 |
Last Update Date | 2021-03-31 |