| NPI | 1780171637 |
|---|---|
| Former Name | STEPHANIE LEE PETROFSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 281873) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OH 36004004) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07001411A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-05-01 |