| NPI | 1588861421 |
|---|---|
| Former Name | STACY LYNN PINTAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: TN 1142) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: GA 4247) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2017-11-01 |