NPI | 1740226620 |
---|---|
Former Name | RENEE ELIZABETH STECKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001013604) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VT 0050030655) |
363A00000X Physician Assistant (Licence: NY 010597) | |
Enumeration Date | 2006-06-21 |
Last Update Date | 2024-07-29 |