| NPI | 1023853728 |
|---|---|
| Former Name | STEPHANIE EKSTRAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1167918) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-28 |