| NPI | 1609443597 |
|---|---|
| Former Name | STEPHANIE A FOURNIEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R43355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2468394) |
| 163W00000X Registered Nurse (Licence: ND R43355) | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2022-06-25 |