| NPI | 1891315495 |
|---|---|
| Former Name | STEPHANIE SCHOCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WI 5374) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0008716) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2024-10-23 |