| NPI | 1700209004 |
|---|---|
| Former Name | STEPHANIE VALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704253512) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704253512) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2019-12-30 |