| NPI | 1861660078 |
|---|---|
| Former Name | STACY HOWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0003785) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA10005372) |
| 363AM0700X Physician Assistant, Medical (Licence: CO PA0003785) | |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2018-10-19 |