| NPI | 1174550693 |
|---|---|
| Former Name | STEPHANIE SUMMERHILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 007885) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9103206) |
| 363AS0400X Physician Assistant, Surgical (Licence: GA 75264) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2018-09-13 |