| NPI | 1801182613 |
|---|---|
| Former Name | STEPHANIE CONTAG WISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 55514) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2023-07-19 |