| NPI | 1619369659 |
|---|---|
| Former Name | STEPHANIE MARIE CALABRESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238000602) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096003353) |
| 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant (Licence: IL 0127115053) | |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2018-08-27 |