| NPI | 1083804991 |
|---|---|
| Former Name | ELLEN STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 1250) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA 2312) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2025-02-21 |