| NPI | 1134274699 |
|---|---|
| Former Name | STEPHANIE ANN SOSINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601003469) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 0000894A) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-03-17 |