NPI | 1952495475 |
---|---|
Former Name | STEPHANIE E WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-02085) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-02085) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2024-04-09 |