| 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 |