| NPI | 1780854760 |
|---|---|
| Former Name | STEPHANIE ANN BIXBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95020435) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 716439) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2022-07-21 |