| NPI | 1013251941 |
|---|---|
| Former Name | STACEY C TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA143030) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL RN9207570) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-10-16 |