| NPI | 1821331026 |
|---|---|
| Former Name | STEPHANIE WATERHOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TN 0000061354) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 0000061354) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2022-03-29 |