NPI | 1447746789 |
---|---|
Former Name | STEPHANIE ELIZABETH SCHRAMEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12721) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MN 12721) |
Enumeration Date | 2018-07-10 |
Last Update Date | 2023-03-15 |