| NPI | 1952556193 |
|---|---|
| Former Name | STACY ELLEN VOEGELI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA054808) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 002208) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2020-01-20 |