| NPI | 1013316280 |
|---|---|
| Former Name | JILLIAN ROSE STEGMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2756) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC 2756) |
| 363A00000X Physician Assistant (Licence: IL 085.005178) | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2021-05-06 |