| NPI | 1881157618 |
|---|---|
| Former Name | STEPHANIE MICHELE HERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP020231) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2022-01-21 |