NPI | 1427317106 |
---|---|
Former Name | JENNIFER STAGIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106986) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-05579) |
363AM0700X Physician Assistant, Medical (Licence: VI 38) | |
Enumeration Date | 2012-05-15 |
Last Update Date | 2019-06-20 |