| NPI | 1114121936 |
|---|---|
| Former Name | ROXANN STACHIW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD PA75548) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC F 2572) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2012-06-26 |