NPI | 1881367878 |
---|---|
Former Name | STEPHANIE NOEL YODER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113561) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 113561) |
Enumeration Date | 2021-07-27 |
Last Update Date | 2024-06-26 |