| NPI | 1942743596 |
|---|---|
| Former Name | STEPHANIE KORVELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60711021) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60711021) |
| 363L00000X Nurse Practitioner (Licence: WA AP60711021) | |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2024-11-01 |