| NPI | 1952521007 |
|---|---|
| Former Name | STEPHANIE LYNN ZOELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 34893) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01054996A) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2018-02-19 |