| NPI | 1952395774 |
|---|---|
| Former Name | STEPHANIE LYNN WERNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 62513) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 23245) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2022-07-21 |