NPI | 1962083402 |
---|---|
Former Name | MAURA KELLY STOEHR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028152) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: PA RN723012) |
Enumeration Date | 2021-04-16 |
Last Update Date | 2023-09-25 |