| NPI | 1770911950 |
|---|---|
| Former Name | STEPHANIE STIFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704326060) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209010837) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2018-12-11 |