| NPI | 1790885283 |
|---|---|
| Former Name | STEPHANIE DAWN DOENGES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 122809) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX L8044) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2014-11-20 |