| NPI | 1033550926 |
|---|---|
| Former Name | STEPHANIE CATHERINE PRICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601008137) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C05126) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2017-05-03 |