| NPI | 1861782062 |
|---|---|
| Former Name | STACY MARIE DUNNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005299) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.004633RX) |
| 363A00000X Physician Assistant (Licence: NC 001002754) | |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2021-04-14 |