| NPI | 1972890671 |
|---|---|
| Former Name | STEPHANIE MARIE CASTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT200338) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |