| NPI | 1912163825 |
|---|---|
| Former Name | STEPHANIE JEANE FESSLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: GA 65105) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-052596) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2023-03-03 |