| NPI | 1972886810 |
|---|---|
| Former Name | STEPHANIE DEL TISCHENDORF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA 12588-NP) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2019-09-03 |