NPI | 1003579103 |
---|---|
Former Name | SAMANTHA STEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601011583) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-10-16 |
Last Update Date | 2023-03-13 |