| NPI | 1265704266 |
|---|---|
| Former Name | STEPHANIE M HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1634) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 12424) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2024-09-18 |