| NPI | 1144620758 |
|---|---|
| Former Name | STEPHANIE ANN DALBIANCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601007176) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2023-08-08 |