NPI | 1912151747 |
---|---|
Former Name | KATHERINE ANN STEPHENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MN 55217) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2008-11-06 |
Last Update Date | 2022-09-29 |