| NPI | 1639505019 |
|---|---|
| Former Name | STEPHANIE NOTTLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5465) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 5465-33) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2022-01-03 |