| NPI | 1740468727 |
|---|---|
| Former Name | STEPHANIE K DIX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 37420) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 247773) |
| 207L00000X Anesthesiology (Licence: NC 2012-00611) | |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2014-11-13 |