| NPI | 1629329537 |
|---|---|
| Former Name | STEPHANIE MARGARET RENNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID NP-1229A) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60511737) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1229A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60511737) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2015-05-18 |