| NPI | 1457809550 |
|---|---|
| Former Name | STEPHANIE BERTRAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61147744) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WA PA61147744) |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA61147744) | |
| 363AM0700X Physician Assistant, Medical (Licence: OR PA190844) | |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2021-05-13 |