NPI | 1902526122 |
---|---|
Former Name | SHAYLA JO STEINLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 1009) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 117713) |
363A00000X Physician Assistant (Licence: NE 2857) | |
Enumeration Date | 2022-08-29 |
Last Update Date | 2024-04-25 |