NPI | 1942432828 |
---|---|
Former Name | STEPHANIE SCAMMELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118001) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 713046) |
Enumeration Date | 2009-08-11 |
Last Update Date | 2023-08-18 |