| NPI | 1013403682 |
|---|---|
| Other Name | STEPHANIE KATHERINE GOHLSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CT 4154) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 4154) |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2024-02-13 |