NPI | 1578125829 |
---|---|
Other Name | STEPHANIE DWYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 56944) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA56944) |
Enumeration Date | 2019-07-07 |
Last Update Date | 2022-07-11 |