| NPI | 1174903538 |
|---|---|
| Former Name | STEPHANIE CHRISTIAN PRITCHETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-05765) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-05765) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2023-10-28 |