| NPI | 1013193556 |
|---|---|
| Former Name | STACIE MARIE KOCHIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA154004) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 1014) |
| 363A00000X Physician Assistant (Licence: OR PA154004) | |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2024-06-20 |