| NPI | 1114412285 |
|---|---|
| Former Name | STEPHANIE LIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 2445) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2021-03-15 |