| NPI | 1568415479 |
|---|---|
| Former Name | STEPHANIE LYNN BENDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-09-17 |