| NPI | 1982185328 |
|---|---|
| Former Name | MONICA ELLEN STASSI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12776) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MN 12776) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2020-11-10 |