| NPI | 1568084549 |
|---|---|
| Former Name | STEPHANIE ANNE MUIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL pa9113814) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-11-24 |