| NPI | 1972130441 |
|---|---|
| Other Name | STEPHANIE IRENE BORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021694) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA MB5885908) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2021-06-24 |