| NPI | 1861780272 |
|---|---|
| Former Name | STEPHANIE LYNN QUERIPEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9323605) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2013-01-15 |