| NPI | 1972854792 |
|---|---|
| Former Name | STEPHANIE ROSLONSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704253075) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 22383) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2015-12-08 |