| NPI | 1659368629 |
|---|---|
| Former Name | STEPHANIE M KIRTS-JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01054624A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01054624A) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2015-04-21 |