NPI | 1750033957 |
---|---|
Former Name | STEPHANIE ANN ZOLLINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012329A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28229675a) |
Enumeration Date | 2022-01-19 |
Last Update Date | 2022-03-17 |