NPI | 1043671605 |
---|---|
Former Name | STEFANIE MORGAN WOZMAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 3541) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 2020) |
Enumeration Date | 2016-03-10 |
Last Update Date | 2024-12-12 |