NPI | 1639625643 |
---|---|
Former Name | STEPHANIE G HOELSCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24855) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173807) |
Enumeration Date | 2016-08-30 |
Last Update Date | 2019-08-13 |