| NPI | 1003124645 |
|---|---|
| Former Name | STEPHANIE N WRIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA058057) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 53573) |
| 363A00000X Physician Assistant (Licence: VA 0110003397) | |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2024-09-24 |