| NPI | 1861985962 |
|---|---|
| Former Name | STEPHANIE ANN STALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 14569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 52625) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2025-02-26 |