| NPI | 1972903953 |
|---|---|
| Former Name | JACQUELINE A STIEFEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 017482) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 17482) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2023-05-15 |