| NPI | 1790352243 |
|---|---|
| Former Name | STEPHANIE DAVIS SLATER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA RN2329699) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-12-02 |