| NPI | 1780650689 |
|---|---|
| Former Name | STEPHANIE A. WEBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VT 055.0031322) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA052227) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2017-01-12 |