| NPI | 1326094400 |
|---|---|
| Former Name | STEPHANIE ANN CLELAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-12-02 |