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