NPI | 1700872694 |
---|---|
Former Name | ALLISON STEPKOSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 000638) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 000638) |
Enumeration Date | 2005-09-26 |
Last Update Date | 2022-10-25 |