NPI | 1942562384 |
---|---|
Former Name | STEPHANIE EVE OWEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME MD22487) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: ME MD22487) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2024-01-17 |