| NPI | 1841698677 |
|---|---|
| Former Name | STASIA ANNA LANGENFELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004879) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NE 1871) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2019-03-21 |