| NPI | 1023061181 |
|---|---|
| Former Name | HEATHER J STUMBO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA-364) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 20516.769) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 200560042CRNA) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4788A) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2013-01-25 |