NPI | 1164757225 |
---|---|
Former Name | EMILY MARIE STACHNIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11752) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030626) |
Enumeration Date | 2009-10-07 |
Last Update Date | 2015-08-11 |