| NPI | 1942542329 |
|---|---|
| Former Name | STEPHANIE LEBOURDAIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0057221) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2018-05-09 |