| NPI | 1194751792 |
|---|---|
| Former Name | STEPHANIE KIRKPATRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 005416) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PAT 9103434) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2010-07-26 |