NPI | 1710172564 |
---|---|
Former Name | MARGARET KAY STELLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.008667) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IL 041-283154) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2022-04-20 |