| NPI | 1649361825 |
|---|---|
| Other Name | STEPHANIE RENEE PURNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C50000470) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA051892) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-04-28 |