| NPI | 1841454147 |
|---|---|
| Former Name | STACEY L JOSIF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 2597) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2567) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2019-10-03 |