NPI | 1346493970 |
---|---|
Former Name | KATHRYN MICHELE STANLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 4379) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2008-10-28 |
Last Update Date | 2017-01-09 |