NPI | 1619029865 |
---|---|
Former Name | STEPHANIE T. SINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055322) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C02760) |
363AM0700X Physician Assistant, Medical (Licence: PA MA055322) | |
Enumeration Date | 2007-01-17 |
Last Update Date | 2015-09-17 |