NPI | 1053754168 |
---|---|
Former Name | STEPHANIE SABATER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5315088096) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001497A) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2019-12-26 |