NPI | 1326126244 |
---|---|
Former Name | STEPHANIE ARNOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-01162) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2020015514) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2023-02-14 |