| NPI | 1235733627 |
|---|---|
| Former Name | AMY MARIE STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 845) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 2443) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2023-05-09 |