| NPI | 1811089378 |
|---|---|
| Former Name | STEPHANIE J DEVINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 201074) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NC RN157758) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2016-04-07 |