NPI | 1952752446 |
---|---|
Former Name | STEFFANY JILL SANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: LA AP08951) |
Additional Taxonomies | 251J00000X Nursing Care (Licence: LA RN133704) |
Enumeration Date | 2016-06-26 |
Last Update Date | 2016-09-08 |