NPI | 1346293610 |
---|---|
Former Name | VIRGINIA F STENBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SD 0312) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 0312) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2022-04-18 |