| NPI | 1619328069 | 
|---|---|
| Former Name | STEFANIE JANSSEN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 7037) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI F06161979) | 
| Enumeration Date | 2016-06-27 | 
| Last Update Date | 2025-09-30 |