NPI | 1780670109 |
---|---|
Former Name | STEPHANIE ANN WEHRMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: IL 036101761) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036101761) |
Enumeration Date | 2005-09-21 |
Last Update Date | 2020-12-07 |