| NPI | 1720787989 |
|---|---|
| Former Name | STEPHANIE ALLISON LINSENMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1111392) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2024-01-24 |