| NPI | 1750471249 |
|---|---|
| Former Name | STEPHANIE N WYATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 117640) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AR A01493) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-11-19 |