| 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 | 2019-05-21 |