| 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 |