| NPI | 1689924532 |
|---|---|
| Former Name | STEPHANIE N GAETANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 29933) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 247227) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2025-03-21 |