| NPI | 1487148144 |
|---|---|
| Former Name | SYDNEY C STANKUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA059799) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA004475) |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2023-02-20 |