NPI | 1801342043 |
---|---|
Former Name | STEPHANIE ANN LACHACZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA362) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
Enumeration Date | 2016-08-28 |
Last Update Date | 2024-01-18 |