| NPI | 1841700481 |
|---|---|
| Former Name | STEPHANIE MEGHAN ALLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 7209) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 7209) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2022-06-24 |