| NPI | 1720511645 |
|---|---|
| Former Name | SUSAN LYNN STEFANSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209015839) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209-015839) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2021-07-03 |