| NPI | 1942654744 |
|---|---|
| Former Name | STEFANIE JORDAN BEIDELMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01083624A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 11746983-1205) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2021-11-16 |