| NPI | 1528133329 |
|---|---|
| Former Name | STEPHANIE ANN OWENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106007) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA04047) |
| 363A00000X Physician Assistant (Licence: LA A10617) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2015-10-13 |