| NPI | 1629571344 |
|---|---|
| Former Name | STEPHANIE JAYE FISHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN9303668) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9303668) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2021-04-12 |