| NPI | 1700639879 |
|---|---|
| Former Name | STEPHANIE RASCON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1163377) |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-05-29 |