NPI | 1437533312 |
---|---|
Former Name | STEPHANIE FRANKLYN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 8204) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL 9108514) |
Enumeration Date | 2015-07-10 |
Last Update Date | 2018-11-30 |