| NPI | 1689080442 |
|---|---|
| Former Name | STEPHANIE CATHERINE TOBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601007047) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MI 5601007047) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2025-10-28 |