NPI | 1992294284 |
---|---|
Former Name | STEPHENIE KRISTEN SAUCIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24782) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010476) |
363L00000X Nurse Practitioner (Licence: SC 200886) | |
Enumeration Date | 2018-05-02 |
Last Update Date | 2025-02-12 |