| 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 |