| NPI | 1790392462 |
|---|---|
| Former Name | KATIE STUMPF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ND F07201674) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R41765) |
| 363LF0000X Nurse Practitioner Family (Licence: MN 7763) | |
| 363L00000X Nurse Practitioner (Licence: MN 7763) | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2023-05-19 |