| NPI | 1669476057 |
|---|---|
| Former Name | STEPHANIE L DOWDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 01040) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 280) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2020-09-16 |