| NPI | 1316918659 |
|---|---|
| Former Name | STEPHANIE L WRASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601004700) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2019-05-14 |