NPI | 1619380904 |
---|---|
Former Name | STEPHANIE SUZANNE STOPKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CO DR.0061986) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL MD.34895) |
207X00000X Orthopaedic Surgery (Licence: FL TR.27836) | |
Enumeration Date | 2014-06-04 |
Last Update Date | 2019-09-16 |